| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 185858 |
| Photo date: | Jul 13, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00138744 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | BURNETT |
| Convicted: | Jul 5, 2011 |
| Case number: | 11CM7 |
| Statute: | 943.01 M |
| County: | BURNETT |
| Case number: | 82CR110 |